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Interscalene Plexus Block Versus General Anaesthesia for Shoulder Surgery: a Randomized Controlled Study by Lars J. Lehmann; Gregor Loosen; Christel Weiss; Marc D. Schmittner is a Medicine article available to read on EtoBox.
What is Interscalene Plexus Block Versus General Anaesthesia for Shoulder Surgery: a Randomized Controlled Study about?
## Objectives: This randomized clinical trial evaluates interscalene brachial plexus block (isb), general anaesthesia (ga) and the combination of both anaesthetic methods (ga + isb) in patients undergoing shoulder arthroscopy. ## Methods: From july 2011 until may 2012, 120 patients (male/female), aged 20-80 years, were allocated randomly to receive isb (10 ml mepivacaine 1 % and 20 ml ropivacaine 0.375%), ga (propofol, sunfentanil, desflurane) or isb + ga. the primary outcome variable was opioid consumption at the day of surgery. anaesthesia times were analysed as secondary endpoints. ## Results: After surgery, 27 of 40 patients with a single isb bypassed the recovery room (p < 0.0001). postoperative monitoring time was significantly shorter with single isb compared with both other groups [ga: 93 (5-182) min vs. ga + isb: 57.5 (11-220) min vs. isb: 35 (5-106) min, p < 0.0001]. opioid consumption was reduced using a single isb at the day of surgery [ga: n = 25 vs. ga + isb: n = 10 vs. isb: n = 10, p = 0.0037]. ## Conclusion: Isb is superior to ga and ga + isb in patients undergoing shoulder arthroscopy in terms of faster recovery and analgesics consumption.
Who reads Interscalene Plexus Block Versus General Anaesthesia for Shoulder Surgery: a Randomized Controlled Study?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Lars J. Lehmann; Gregor Loosen; Christel Weiss; Marc D. Schmittner
- Publisher
- Springer; Springer-Verlag; Springer Verlag; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 1432-1068)
- Published
- 2014
- Language
- EN
- Field
- Medicine (Health Sciences)